2022 HRS expert consensus statement on evaluation and management of arrhythmic risk in neuromuscular disorders

William J. Groh; Deepak Bhakta; Gordon F. Tomaselli; Ryan G. Aleong; Ricardo Alkmim Teixeira; Anthony Amato; Samuel J. Asirvatham; Yong Mei Cha; Domenico Corrado; Denis Duboc; Zachary D. Goldberger; Minoru Horie; Joseph E. Hornyak; John Lynn Jefferies; Stefan Kääb; Jonathan M. Kalman; Naomi J. Kertesz; Neal K. Lakdawala; Pier D. Lambiase; Steven A. Lubitz; Hugh J. McMillan; Elizabeth M. McNally; Margherita Milone; Narayanan Namboodiri; Saman Nazarian; Kristen K. Patton; Vincenzo Russo; Frederic Sacher; Pasquale Santangeli; Win Kuang Shen; Dario C. Sobral Filho; Bruce S. Stambler; Claudia Stöllberger; Karim Wahbi; Xander H.T. Wehrens; Menachem Mendel Weiner; Matthew T. Wheeler; Katja Zeppenfeld

doi:10.1016/j.hrthm.2022.04.022

2022 HRS expert consensus statement on evaluation and management of arrhythmic risk in neuromuscular disorders

William J. Groh, Deepak Bhakta, Gordon F. Tomaselli, Ryan G. Aleong, Ricardo Alkmim Teixeira, Anthony Amato, Samuel J. Asirvatham, Yong Mei Cha, Domenico Corrado, Denis Duboc, Zachary D. Goldberger, Minoru Horie, Joseph E. Hornyak, John Lynn Jefferies, Stefan Kääb, Jonathan M. Kalman, Naomi J. Kertesz, Neal K. Lakdawala, Pier D. Lambiase, Steven A. LubitzHugh J. McMillan, Elizabeth M. McNally, Margherita Milone, Narayanan Namboodiri, Saman Nazarian, Kristen K. Patton, Vincenzo Russo, Frederic Sacher, Pasquale Santangeli, Win Kuang Shen, Dario C. Sobral Filho, Bruce S. Stambler, Claudia Stöllberger, Karim Wahbi, Xander H.T. Wehrens, Menachem Mendel Weiner, Matthew T. Wheeler, Katja Zeppenfeld

Research output: Contribution to journal › Article › peer-review

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Abstract

This international multidisciplinary document is intended to guide electrophysiologists, cardiologists, other clinicians, and health care professionals in caring for patients with arrhythmic complications of neuromuscular disorders (NMDs). The document presents an overview of arrhythmias in NMDs followed by detailed sections on specific disorders: Duchenne muscular dystrophy, Becker muscular dystrophy, and limb-girdle muscular dystrophy type 2; myotonic dystrophy type 1 and type 2; Emery-Dreifuss muscular dystrophy and limb-girdle muscular dystrophy type 1B; facioscapulohumeral muscular dystrophy; and mitochondrial myopathies, including Friedreich ataxia and Kearns-Sayre syndrome, with an emphasis on managing arrhythmic cardiac manifestations. End-of-life management of arrhythmias in patients with NMDs is also covered. The document sections were drafted by the writing committee members according to their area of expertise. The recommendations represent the consensus opinion of the expert writing group, graded by class of recommendation and level of evidence utilizing defined criteria. The recommendations were made available for public comment; the document underwent review by the Heart Rhythm Society Scientific and Clinical Documents Committee and external review and endorsement by the partner and collaborating societies. Changes were incorporated based on these reviews. By using a breadth of accumulated available evidence, the document is designed to provide practical and actionable clinical information and recommendations for the diagnosis and management of arrhythmias and thus improve the care of patients with NMDs.

Original language	English
Pages (from-to)	e61-e120
Journal	Heart Rhythm
Volume	19
Issue number	10
DOIs	https://doi.org/10.1016/j.hrthm.2022.04.022
State	Published - Oct 2022

Keywords

Atrial fibrillation
Atrioventricular block
Cardiomyopathy
ICD
Implantable cardioverter-defibrillator
Muscular dystrophy
Myotonic dystrophy
Pacemaker
Sudden death
Ventricular fibrillation
Ventricular tachycardia

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10.1016/j.hrthm.2022.04.022

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Groh, W. J., Bhakta, D., Tomaselli, G. F., Aleong, R. G., Teixeira, R. A., Amato, A., Asirvatham, S. J., Cha, Y. M., Corrado, D., Duboc, D., Goldberger, Z. D., Horie, M., Hornyak, J. E., Jefferies, J. L., Kääb, S., Kalman, J. M., Kertesz, N. J., Lakdawala, N. K., Lambiase, P. D., ... Zeppenfeld, K. (2022). 2022 HRS expert consensus statement on evaluation and management of arrhythmic risk in neuromuscular disorders. Heart Rhythm, 19(10), e61-e120. https://doi.org/10.1016/j.hrthm.2022.04.022

@article{f828e461852642369272ddb915186ebf,

title = "2022 HRS expert consensus statement on evaluation and management of arrhythmic risk in neuromuscular disorders",

abstract = "This international multidisciplinary document is intended to guide electrophysiologists, cardiologists, other clinicians, and health care professionals in caring for patients with arrhythmic complications of neuromuscular disorders (NMDs). The document presents an overview of arrhythmias in NMDs followed by detailed sections on specific disorders: Duchenne muscular dystrophy, Becker muscular dystrophy, and limb-girdle muscular dystrophy type 2; myotonic dystrophy type 1 and type 2; Emery-Dreifuss muscular dystrophy and limb-girdle muscular dystrophy type 1B; facioscapulohumeral muscular dystrophy; and mitochondrial myopathies, including Friedreich ataxia and Kearns-Sayre syndrome, with an emphasis on managing arrhythmic cardiac manifestations. End-of-life management of arrhythmias in patients with NMDs is also covered. The document sections were drafted by the writing committee members according to their area of expertise. The recommendations represent the consensus opinion of the expert writing group, graded by class of recommendation and level of evidence utilizing defined criteria. The recommendations were made available for public comment; the document underwent review by the Heart Rhythm Society Scientific and Clinical Documents Committee and external review and endorsement by the partner and collaborating societies. Changes were incorporated based on these reviews. By using a breadth of accumulated available evidence, the document is designed to provide practical and actionable clinical information and recommendations for the diagnosis and management of arrhythmias and thus improve the care of patients with NMDs.",

keywords = "Atrial fibrillation, Atrioventricular block, Cardiomyopathy, ICD, Implantable cardioverter-defibrillator, Muscular dystrophy, Myotonic dystrophy, Pacemaker, Sudden death, Ventricular fibrillation, Ventricular tachycardia",

author = "Groh, {William J.} and Deepak Bhakta and Tomaselli, {Gordon F.} and Aleong, {Ryan G.} and Teixeira, {Ricardo Alkmim} and Anthony Amato and Asirvatham, {Samuel J.} and Cha, {Yong Mei} and Domenico Corrado and Denis Duboc and Goldberger, {Zachary D.} and Minoru Horie and Hornyak, {Joseph E.} and Jefferies, {John Lynn} and Stefan K{\"a}{\"a}b and Kalman, {Jonathan M.} and Kertesz, {Naomi J.} and Lakdawala, {Neal K.} and Lambiase, {Pier D.} and Lubitz, {Steven A.} and McMillan, {Hugh J.} and McNally, {Elizabeth M.} and Margherita Milone and Narayanan Namboodiri and Saman Nazarian and Patton, {Kristen K.} and Vincenzo Russo and Frederic Sacher and Pasquale Santangeli and Shen, {Win Kuang} and {Sobral Filho}, {Dario C.} and Stambler, {Bruce S.} and Claudia St{\"o}llberger and Karim Wahbi and Wehrens, {Xander H.T.} and Weiner, {Menachem Mendel} and Wheeler, {Matthew T.} and Katja Zeppenfeld",

note = "Publisher Copyright: {\textcopyright} 2022 Heart Rhythm Society",

year = "2022",

month = oct,

doi = "10.1016/j.hrthm.2022.04.022",

language = "English",

volume = "19",

pages = "e61--e120",

journal = "Heart Rhythm",

issn = "1547-5271",

publisher = "Elsevier",

number = "10",

}

Groh, WJ, Bhakta, D, Tomaselli, GF, Aleong, RG, Teixeira, RA, Amato, A, Asirvatham, SJ, Cha, YM, Corrado, D, Duboc, D, Goldberger, ZD, Horie, M, Hornyak, JE, Jefferies, JL, Kääb, S, Kalman, JM, Kertesz, NJ, Lakdawala, NK, Lambiase, PD, Lubitz, SA, McMillan, HJ, McNally, EM, Milone, M, Namboodiri, N, Nazarian, S, Patton, KK, Russo, V, Sacher, F, Santangeli, P, Shen, WK, Sobral Filho, DC, Stambler, BS, Stöllberger, C, Wahbi, K, Wehrens, XHT, Weiner, MM, Wheeler, MT & Zeppenfeld, K 2022, '2022 HRS expert consensus statement on evaluation and management of arrhythmic risk in neuromuscular disorders', Heart Rhythm, vol. 19, no. 10, pp. e61-e120. https://doi.org/10.1016/j.hrthm.2022.04.022

TY - JOUR

T1 - 2022 HRS expert consensus statement on evaluation and management of arrhythmic risk in neuromuscular disorders

AU - Groh, William J.

AU - Bhakta, Deepak

AU - Tomaselli, Gordon F.

AU - Aleong, Ryan G.

AU - Teixeira, Ricardo Alkmim

AU - Amato, Anthony

AU - Asirvatham, Samuel J.

AU - Cha, Yong Mei

AU - Corrado, Domenico

AU - Duboc, Denis

AU - Goldberger, Zachary D.

AU - Horie, Minoru

AU - Hornyak, Joseph E.

AU - Jefferies, John Lynn

AU - Kääb, Stefan

AU - Kalman, Jonathan M.

AU - Kertesz, Naomi J.

AU - Lakdawala, Neal K.

AU - Lambiase, Pier D.

AU - Lubitz, Steven A.

AU - McMillan, Hugh J.

AU - McNally, Elizabeth M.

AU - Milone, Margherita

AU - Namboodiri, Narayanan

AU - Nazarian, Saman

AU - Patton, Kristen K.

AU - Russo, Vincenzo

AU - Sacher, Frederic

AU - Santangeli, Pasquale

AU - Shen, Win Kuang

AU - Sobral Filho, Dario C.

AU - Stambler, Bruce S.

AU - Stöllberger, Claudia

AU - Wahbi, Karim

AU - Wehrens, Xander H.T.

AU - Weiner, Menachem Mendel

AU - Wheeler, Matthew T.

AU - Zeppenfeld, Katja

PY - 2022/10

Y1 - 2022/10

N2 - This international multidisciplinary document is intended to guide electrophysiologists, cardiologists, other clinicians, and health care professionals in caring for patients with arrhythmic complications of neuromuscular disorders (NMDs). The document presents an overview of arrhythmias in NMDs followed by detailed sections on specific disorders: Duchenne muscular dystrophy, Becker muscular dystrophy, and limb-girdle muscular dystrophy type 2; myotonic dystrophy type 1 and type 2; Emery-Dreifuss muscular dystrophy and limb-girdle muscular dystrophy type 1B; facioscapulohumeral muscular dystrophy; and mitochondrial myopathies, including Friedreich ataxia and Kearns-Sayre syndrome, with an emphasis on managing arrhythmic cardiac manifestations. End-of-life management of arrhythmias in patients with NMDs is also covered. The document sections were drafted by the writing committee members according to their area of expertise. The recommendations represent the consensus opinion of the expert writing group, graded by class of recommendation and level of evidence utilizing defined criteria. The recommendations were made available for public comment; the document underwent review by the Heart Rhythm Society Scientific and Clinical Documents Committee and external review and endorsement by the partner and collaborating societies. Changes were incorporated based on these reviews. By using a breadth of accumulated available evidence, the document is designed to provide practical and actionable clinical information and recommendations for the diagnosis and management of arrhythmias and thus improve the care of patients with NMDs.

AB - This international multidisciplinary document is intended to guide electrophysiologists, cardiologists, other clinicians, and health care professionals in caring for patients with arrhythmic complications of neuromuscular disorders (NMDs). The document presents an overview of arrhythmias in NMDs followed by detailed sections on specific disorders: Duchenne muscular dystrophy, Becker muscular dystrophy, and limb-girdle muscular dystrophy type 2; myotonic dystrophy type 1 and type 2; Emery-Dreifuss muscular dystrophy and limb-girdle muscular dystrophy type 1B; facioscapulohumeral muscular dystrophy; and mitochondrial myopathies, including Friedreich ataxia and Kearns-Sayre syndrome, with an emphasis on managing arrhythmic cardiac manifestations. End-of-life management of arrhythmias in patients with NMDs is also covered. The document sections were drafted by the writing committee members according to their area of expertise. The recommendations represent the consensus opinion of the expert writing group, graded by class of recommendation and level of evidence utilizing defined criteria. The recommendations were made available for public comment; the document underwent review by the Heart Rhythm Society Scientific and Clinical Documents Committee and external review and endorsement by the partner and collaborating societies. Changes were incorporated based on these reviews. By using a breadth of accumulated available evidence, the document is designed to provide practical and actionable clinical information and recommendations for the diagnosis and management of arrhythmias and thus improve the care of patients with NMDs.

KW - Atrial fibrillation

KW - Atrioventricular block

KW - Cardiomyopathy

KW - ICD

KW - Implantable cardioverter-defibrillator

KW - Muscular dystrophy

KW - Myotonic dystrophy

KW - Pacemaker

KW - Sudden death

KW - Ventricular fibrillation

KW - Ventricular tachycardia

UR - http://www.scopus.com/inward/record.url?scp=85137986864&partnerID=8YFLogxK

U2 - 10.1016/j.hrthm.2022.04.022

DO - 10.1016/j.hrthm.2022.04.022

M3 - Article

C2 - 35500790

AN - SCOPUS:85137986864

SN - 1547-5271

VL - 19

SP - e61-e120

JO - Heart Rhythm

JF - Heart Rhythm

IS - 10

ER -

2022 HRS expert consensus statement on evaluation and management of arrhythmic risk in neuromuscular disorders

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Keywords

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